Cyber

use this free template

Preview this template

Please enter your gender?

Male

Female

What is your age?

How many hours on any given week you use computers at work?

Not at all

1-5 hours

6-10 hours

11-15 hours

16-20 hours

21-25 hours

more than 25 hours

Choose one or may technologies specified below that use at work everyday.

Instant Messaging

Computer games

Internet

Spreadsheet

Others

None of the above

	Strongly Disagree	Moderately Disagree	Somewhat Disagree	Nuetral	Somewhat Agree	Moderately Agree	Strongly Agree
I use instant messaging everyday	Strongly Disagree	Moderately Disagree	Somewhat Disagree	Nuetral	Somewhat Agree	Moderately Agree	Strongly Agree

I use email everyday	Strongly Disagree	Moderately Disagree	Somewhat Disagree	Nuetral	Somewhat Agree	Moderately Agree	Strongly Agree

I play computer games everyday	Strongly Disagree	Moderately Disagree	Somewhat Disagree	Nuetral	Somewhat Agree	Moderately Agree	Strongly Agree

use this free template